EFTA01356699.pdf

KYC Print Page 28 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all part es) Individual's Name: Date of Birth: Country of Residence: United States Country of Citizenship: United States Has client resided outside of Address of primary residence: his/her country of nationality Li Yes W No for 5 years or more? Profession/Occupation: N/A Tax ID / SSN: Current Employer: N/A Position/Title/Rank: N/A Address of employer: N/A Does the person work as senior executive of a DB-recognized regulated entity in the financial ndustiy? or an entity listed on a 06-recognised exchange? (Not applicable for operating entities O Yes N° Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A ❑ Yes RI No To the best of your knowledge, is the individual related to an employee of the DB group?ff ❑ Family 0 Friendship E) None Family or Fnendship, describe) N/A To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or 0 yes M No servIces)?(,'f Yes,deScnbe) N/A If applicable, indicate which bank officers have met the Indicate where and when the client meeting(s) took place: person: Client Private Client Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: LI 0 U U 0 Li r1 0 IL._.;, Wealth Details for this individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Business Owner OSalary/Earnings 0 Investment 0 Inheritance/Gifts 0 Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate weakh? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income(;): Estimated amount of investable assets($): Imps://dbforcepb.my.salesforce.com/servlet/servlet.Integration7lid=0IN30000000D9Di&eid=5000e0000 1N... 7/10/2019 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0042696 CONFIDENTIAL SDNY_GM_00188880 EFTA01356699